Spontaneous hemarthrosis following fibrinolytic therapy for acute myocardial infarction: a case report and literature review.
| Autor: | Ramadan MM; Department of Cardiology, Mansoura University, Faculty of Medicine, Mansoura, Egypt., Khan IS; Department of Orthopedic Surgery, Fujairah Hospital, Ministry of Health, Fujairah , United Arab Emirates., Mahdi O; Department of Cardiology, Fujairah Hospital, Ministry of Health, Fujairah, United Arab Emirates. |
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| Jazyk: | angličtina |
| Zdroj: | The American journal of case reports [Am J Case Rep] 2014 Nov 23; Vol. 15, pp. 514-7. Date of Electronic Publication: 2014 Nov 23. |
| DOI: | 10.12659/AJCR.892138 |
| Abstrakt: | Background Despite the widespread use of fibrinolytic therapy and the numerous reports on its bleeding complications, spontaneous hemarthrosis following fibrinolytic therapy is quite rare. Case Report We describe in this report a patient with no previous history of articular disease who developed a spontaneous right knee bloody effusion following fibrinolytic therapy using rt-PA for acute ST-elevation myocardial infarction. Furthermore, we provide a review of all cases of spontaneous hemarthrosis documented so far in the literature. Conclusions Several pre-existing joint diseases may predispose to hemarthrosis following fibrinolytic therapy, even in patients who deny previous or current articular disorders. Therefore, hemorrhage should be considered in the differential diagnosis of mono-arthritis following fibrinolytic therapy for STEMI. |
| Databáze: | MEDLINE |
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